Pep Talk

Question 1

When are PEP measures taken?

Answer 1

Exposure to bloodborne pathoens

Question 2

What pathogens have high occupational exposure?

Answer 2

HIV, HBV, HCV, HTLV-1

Question 3

Routes of occupational exposure?

Answer 3

Percutaneous - needle sticks or sharps
Mucous membranes- blood, tissue, fluids
Non-intact skin_ damaged skin with blood, tissue or fluids

Question 4

What is vertical transmission of bloodborne pathogens?

Answer 4

Transmission from mother to child in gestation, delivery or breastfeeding.
24%

Question 5

Which pathogen has the highest ransmission rate after needle sticks?

Answer 5

HCV - 3-10%

Question 6

What is the order if one is exposed?

Answer 6

1. first aid
2. Notify
3. Document
4. Assess the risk
5. Test
6. Decide on PEP
7. Follow-up

Question 7

What should be used to clean wounds after exposure?

Answer 7

Soap and water on wounds
water flush on mucous membranes

Question 8

What is the basis of evaluation of risk?

Answer 8

Type of substance
route of exposure (hollow needle vs injection)
severity of exposure

Question 9

What to do if not vaccinated against HBV?

Answer 9

Vaccinate immediately and administer HBIG

Question 10

When should PEP be started after exposure?

Answer 10

within first 72 hours

Question 11

If PEP is done, when should post testing be done?

Answer 11

at 3 months and 6 months

Question 12

What drugs are used for PEP?

Answer 12

TDF
3TC
DTG
ABC
ATV/r
LPV/r